go back

Lip Reconstruction With a Cross-Lip Flap

Ohio rates for HCPCS 40761

Reconstructive surgery that borrows a wedge of tissue from the opposite lip, left attached by its own small blood supply, and swings it across to rebuild a lip that is deficient or distorted. The connecting bridge stays in place for a period so the transferred tissue can establish a blood supply in its new position, and is divided at a second stage. It is used when there is not enough lip tissue to close the gap directly.

Rates data updated July 2026.

How much does Lip Reconstruction With a Cross-Lip Flap cost?

$1,820

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $1,820 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $5,248 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,175$1,047 to $1,738
FacilityA hospital or hospital-owned outpatient department$5,248$3,388 to $9,550

How much rates vary

Facilitymedian $5,248 · 10th to 90th $1,698 to $12,589Professionalmedian $1,175 · 10th to 90th $955 to $6,166
$50$200$1K$5Kfacility $5,248professional $1,175

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$6,606.93
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,174.90
Typical High
$9,120.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,365.16
Typical High
$16,982.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,202.26
Typical High
$2,089.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,412.54
Typical High
$2,187.76
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,412.54
Typical High
$2,187.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,148.15
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$6,309.57
Typical High
$11,748.98
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,148.15
Typical High
$1,949.84

Where Ohio sits

The same service costs 5.4 times more in California than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Ohio· 23rd of 51

$1,820

CA $5,754WV $1,072

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.